| NPI | 1073995213 |
|---|---|
| Doing Business As | MY KID'S SMILE |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CHANNING CHRISTIANSEN Manager 775-848-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 4489) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV 36-117) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |